HomeMy WebLinkAboutWELL-231212-01.tif Permit#:WELL-231212-01
� •+� CATAWBA COUNTY HEALTH DEPARTMENT
•�. 1 Environmental Health Section
NOP
WATER SAMPLE FIELD REPORT & TEST RESULTS
(Owner) (PINK LORI DECLARATION OF TRUST) RECEIVED
Owner's Address: \5287 CHESTNUT DR,HICKORY,NC 28602-8657
Phone#&Email: 9 r�J _ r -
7 -f b t I" I LUL3
Site Address: 1240 CAMP CREEK RD, HICKORY,NC 28602
Parcel#: 266902983962
Environmental Health
Subdivison:Sample Collected By:�IN 5 L 1 ''k em Date/Time Sampled: o-rQ!/1 o/2.5 I • '21 l p
n
Sampling Point: lilt -02.44/4 well head accessible? Yes i/A No Reason for inaccessibility
Well New or Existing? New Existing
Type of Well: Drilled 1,7 Bored Punch Hand Dug
Does well meet adequate construction standards from what can be observed?: Yes: No:
Items of non-compliance: Evidence of improper grouting or no grouting
Well does not meet a required setback(comment)
Improperly constructed sanitary well seal
Well head not term at>=12 in.above finished grade
Well head missing vent
Well head does not have a threadless tap
Well head missing identification plate or pump tag
Wire conduit opening not sealed
Other(Comment)
Comments:
Lab Coliform Analysis Results: Total Coliforms:GO/1 W Fecal/E.Coli: aSi-X14
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials: 100 Date/Time Received:M'ti" Date/Time Completed:ea't i• 1{C '"
140
Analytical Results STATESVILLE
ANALYTICAL
Catawba County Public Health ' r
PO Box 389
Newton, NC 28658
Receive Date: 09/11/2025
Reported: 09/12/2025
For: Lori Pink: 1240 Camp Creek Rd, Hickory NC 28602
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
250911-41-01 Nitrate 231212-01 <1 mg/L 353.2 09/11/2025 CL
250911-41-01 Nitrite 231212-01 <0.1 mg/L 353.2 09/11/2025 CL
Respectfully submitted,
Melissa Myers
NC Cert tt9'10,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville,NC 28687 • 704/872/4697
Page 1 of 2
122 Court Street Statesville,NC 28677
704-872-4.697 www.sa-nc.corn . '
•
3A.T.EINiT ITE ANALYSIS .
No`:AAlintcrathat am!beiL..,li:d tass^..n,li east
WATER SYSTEM.3 P. WCLL.- a3Lot. .- 0l County: Catawba •
Name of Water System: Let et P 1 r (r, •
Sample Type: CI Entry Point I SpecialNon-compliance
Location Where Collected: i 2.LLD Ca P p Cr e -J I2 J ll It p y /4. a�'C
Facility ID No.a 3 i 112 01
Sample Point• W G II 1-t-g .1 11I Collection Date 1 Collection Time
1, G.�
Collected By: Dui)S1„� J'
/M�1 l�c Ot i/0 1.211 —L:� Ghrsi 1M
Ma.Frit° Rn: anti)
Msi1 Results to(water system representative):
CATAWBA COUNTY PUBLIC HEALTH Phone irt:1 (828)465-8270
ENVIRONMENTAL HEALTH Fax i(82B)465-8275 4 •
,PO BOX 389 Responsible Person's email:
•EHAdmin@catawbacountync.gov
NEWTON,NC 28658
LABORATORY ID it: 3 55 ❑SAW LE UNSATISFACTORY ❑RESAMPLE REQUIRED
II REQUIRED NOT DETECTED QUANTIFIED ALLOWABLE
CONTAMINANT METHOD REPORTING LIMIT (Le.<RitL.) LIMITCODE • CODE �R-I-) RESULTS*
-•
1040 Nitrate 3532 1.00 m m 10.00 mglL
104f Nitrite • 3532 0.10 mg/I. mglL 1.00 mglL
'Note:If result exceeds allowable limit;the laboratory must fax analytical results to the State on day test completed.
DATE: TIMEi :• ,.
•
1 ANALYSES BEGUN: O CI/ t I / 2.6 • 5:2"_1 , -P ll
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I 1
ANALYSES COMPLETED: e)CI i _ _44:2$ , PM
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LaboratoryLogtr: d5ectt i ' "l 1 •0 Certified By: 7.
COMMENTS: • .
200E1
Laboratory sbould Mail Results to: •
Public Water Supply Section,Arm:Data Eatry,[634 Mail Service Center,Raleigh,NC 27699-1634
PO Box 228 • Statesville,NC 28687 • 704/872/4697
Page 2 of 2
North Carolina Division of Public Health
Occupational and Environmental Epidemiology Branch,Epidemiology Section
BIOLOGICAL ANALYSIS REPORT
Private well water information and recommendations
County: Catawba Name: Sample ID Number: ' I
Location: ) L a „,h r c re-2.1 i�,lca- , Reviewer: Jason Boyd
Initial Sample )( Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR
PRIVATE WELL WATER(These recommendations are based on biological analysis only.)
X No coliform bacteria were found in your well water. Your water can be used for all purposes
including drinking, cooking,washing dishes, bathing and showering.
Total coliform bacteria were detected in your water sample. Total Coliform are a group of related
bacteria that are(with few exceptions)not harmful to humans. A variety of bacteria,parasites, and
viruses,known as pathogens, can potentially cause health problems if humans ingest them. EPA considers
total coliforms a useful indicator of other pathogens for drinking water. Total coliforms are used to
determine the adequacy of water treatment and the integrity of the distribution system
It is recommended that your well water be re-tested to verify that the result is accurate.
Fecal coliform bacteria were detected in the sample. Do not use the water for drinking,
cooking,washing dishes, bathing or showering.
If the re-test shows contamination by bacteria contact your local health depai tuent for assistance. There
may be a problem with the construction of the well,the groundwater source, or operation of the well. The
well needs to be inspected by the local health department or a local well contractor to determine the
problem with the well and to give guidance on how to correct the problem.
Your well water was tested for biological contaminants(total coliform and fecal coliform bacteria). The
results were evaluated using the federal drinking water standards.
Drinking water may contain substances that can occur naturally in water or can be introduced into water
from man-made sources. Total coliform bacteria are found in soil and fecal coliform bacteria are found in
animal and human waste. Total coliform or fecal coliform bacteria in well water indicate that the well
may have structural problems or that the well was not properly disinfected.
If you have been drinking the well water and are pregnant,nursing, have a child in the household under 5
years of age, or iminunocompromised(such as an individual with AIDS, cancer,hepatitis, dialysis or
surgical procedures) inform your physician of these results at your next visit.
If the contamination continues,you should investigate the possibility of drilling a new well or installing a
point-of-entry disinfection unit which can use chlorine, ultraviolet light,or ozone.
For further information please contact your county health department or the Occupational and
Environmental Epidemiology Branch at 919-707-5900.
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,� Private Tell Information
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and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
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County: Catawba ! Namne/Address: 1�
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Sample ID#: 731 Li i;-z. t Reviewer: Jason Boyd
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TEST RESULTS AND USE RECOMMENDATIONS
1.X Your well water meets federal drinking water standards for inorganic chemicals. Your water can be used for
drinking, cooking,washing, cleaning,bathing, and showering based on the inorganic chemical results only.You may
have other water sampling results that are not taken into account in this report.
2. n The following substance(s)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels. The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking, unless you install a water treatment system to remove the circled substance(s).However, it may be used for
washing, cleaning, bathing and showering based on the inorganic chemical results only.
n Arsenic ❑Barium ❑ Cadmium ❑ Chromium ❑ Copper n Fluoride n Iron
❑Lead n Manganese ❑Mercury n Nickel n Nitrate/Nitrite n Selenium n Silver
n Zinc
3. ❑ While your lead levels do not exceed federal or state standards,the North Carolina Division of Public Health has
concerns with any detection of lead. Should you have any questions please contact the NC Private Well and Health
Program at(919) 707-5900.
4. ❑ Re-sample for lead and/or copper. Take a first draw and 30-second flush sample inside the house (preferably the
kitchen sink) and a first draw and 4 minutes flush sample at the wellhead to determine the source of lead and/or copper.
5. ir The following substance(s) exceeded aesthetic drinking water standards. Your water can be used for drinking,
cooking, washing, cleaning, bathing, and showering based on the inorganic chemical results only, but aesthetic problems
such as bad taste, odor, staining of porcelain, etc.may occur. You may want to install a household water treatment system
to address aesthetic problems.
— Tzemor dc--- =C-upper -❑ 'Iuori 1c ----0_ 3n -- -,-==Manganese-
❑ pH n Silver ❑ Sulfate I Zinc
6. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's (USEPA)Health Advisory level for sodium of
20 mg/I. The North Carolina Division of Public Health recommends that only individuals on no or low sodium-restricted
diets not use this water for drinking or cooking. It may be used for washing, cleaning,bathing, and showering based on
the inorganic chemical results only.
❑ b. Your sodium level exceeds 30 mg/1 and may pose aesthetic issues such as bad taste, odor, staining of porcelain, etc.
7. ❑Re-sampling is recommended in months,to reinvestigate .
For more information regarding your well water results,please call the North Carolina Division of Public Health at 919-707-5900.